Bradley, Jay Cameron

Bradley, Jay Cameron is an individual health care provider with primary practice located at 5109 80Th St , Lubbock TX 79424-3017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bradley, Jay Cameron can be contacted via phone (806) 792-5900.

Contact Information

Primary practice address
5109 80Th St Lubbock TX 79424-3017
Phone: (806) 792-5900
Fax: (806) 792-6092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M2267 Texas

Profile Details

NPI number 1912042763
LBN Legal business name Bradley, Jay Cameron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Jun 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912042763 NPPES
Texas MEDICAID 195329103
Texas Other 38305551
Texas Other 8CV658

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